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Prevalence and Risk Markers of Challenging Behavior Among Children with Disabilities

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Abstract

Children with disabilities are more likely to engage in some form of challenging behavior. The present study sought to investigate the prevalence of challenging behaviors, such as aggressive/destructive or stereotypic behavior, and identify those personal and contextual risk markers associated with the occurrence of challenging behaviors. A total of 205 children with intellectual disability enrolled in a special education school participated in this study. Fifteen professionals participated in this study and responded to two questionnaires via an interview format. Of the sample, 60% were identified as displaying some form of challenging behavior. Both personal and environmental factors within this school were identified as significant predictors of at least one form of behavior. Findings highlight the need to invest in further research to identify personal and environmental variables that may act as risk markers for challenging behaviors in a specific educational setting to customize the services and supports provided.

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References

  • Bambara, L. M., & Knoster, T. P. (2009). Designing positive behavior support plans (2a ed.). Washington: AAIDD.

    Google Scholar 

  • Baghdadli, A., Pascal, C., Grisi, S., & Aussilloux, C. (2003). Risk factors for self-injurious behaviours among 222 young children with autistic disorders. Journal of Intellectual Disability Research, 47, 622–627.

    Article  PubMed  Google Scholar 

  • Carr, E. G., Ladd, M. V., & Schulte, C. F. (2008). Validation of the contextual assessment Inventory for problem behavior. Journal of Positive Behavior Interventions, 10, 91–104.

    Article  Google Scholar 

  • Dekker, M. C., Koot, H. M., van der Ende, J., & Verhulst, F. C. (2002). Emotional and behavioral problems in children and adolescents with and without intellectual disability. Journal of Child Psychology and Psychiatry, 48, 498–507.

    Google Scholar 

  • Emerson, E., & Einfeld, S. L. (2011). Challenging behaviour (3rd ed.). Cambridge: University Press.

    Book  Google Scholar 

  • Emerson, E., Kiernan, C., Alborz, A., Reeves, D., Mason, H., Swarbrick, R., et al. (2001). The prevalence of challenging behaviors: A Total population study. Research in Developmental Disabilities, 22, 77–93.

    Article  PubMed  Google Scholar 

  • Farmer, C. A., & Aman, M. G. (2011). Aggressive behavior in a sample of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 317–323.

    Article  Google Scholar 

  • Hartley, S. L., Sikora, D. M., & McCoy, R. (2008). Prevalence and risk factors of maladaptive behaviour in young children with autistic disorder. Journal of Intellectual Disability Research, 52, 819–829.

    Article  PubMed  PubMed Central  Google Scholar 

  • Helay, O., Lydon, S., & Murray, C. (2014). Aggressive behavior. In P. Sturmey & R. Didden (Eds.), Evidence-based practice and intellectual disabilities (pp. 103–132). Chichester: Wiley Blackwell.

    Google Scholar 

  • Jang, J., Dixon, D. R., Tarbox, J., & Granpeesheh, D. (2011). Symptom severity and challenging behavior in children with ASD. Research in Autism Spectrum Disorders, 5, 1028–1032.

    Article  Google Scholar 

  • Jeong, B., Yoo, E., Jung, M., Kang, D., Park, S., & Park, S. H. (2013). Validity and reliability of the Korean version of the behavior problems Inventory. Journal of Applied Research in Intellectual Disabilities, 26, 578–590.

    PubMed  Google Scholar 

  • Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of Autism and Developmental Disorders, 41, 926–937.

    Article  PubMed  Google Scholar 

  • Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36, 1101–1114.

    Article  PubMed  Google Scholar 

  • Lloyd, B. P., & Kennedy, C. H. (2014). Assessment and treatment of challenging behavior for individuals with intellectual disability: A research review. Journal of Applied Research in Intellectual Disabilities, 27, 187–199.

    Article  PubMed  Google Scholar 

  • Lowe, K., Allen, D., Jones, E., Brophy, S., Moore, K., & James, W. (2007). Challenging behaviours: Prevalence and topographies. Journal of Intellectual Disability Research, 51, 625–636.

    Article  PubMed  Google Scholar 

  • Lowe, K., Brophy, S., Gale, C., Jones, E., Lawrence, B., & Moore, K. (2002a). Special project team. In Challenging behaviour survey: Setting intervirew. Glamorgan: Bro Morgannwg NHS Trust & University of.

    Google Scholar 

  • Lowe, K., Brophy, S., Gale, C., Jones, E., Lawrence, B., & Moore, K. (2002b). Special project team. Challenging behaviour survey: Individual Schedule. Bro Morgannwg NHS Trust & University of Glamorgan.

  • Lundqvist, L. O. (2013). Prevalence and risk markers of behavior problems among adults with intellectual disabilities: A total population study in Örebro County, Sweden. Research in Developmental Disabilities, 34, 1346–1356.

    Article  PubMed  Google Scholar 

  • Mansell, J., & Beadle-Brown, J. (2012). Active support: Enabling and empowering people with intellectual disabilities. London: Jessica Kingsley Publishers.

    Google Scholar 

  • Matson, J. L., & Boisjoli, J. A. (2008). Strategies for assessing Asperger's syndrome: A critical review of data based methods. Research in Autism Spectrum Disorders, 2, 237–248.

    Article  Google Scholar 

  • Matson, J. L., Wilkins, J., & Macken, J. (2009). The relationship of challenging behaviors to severity and symptoms of autism spectrum disorders. Journal of Mental Health Research in Intellectual Disabilities, 2, 29–44.

    Article  Google Scholar 

  • McAtee, M., Carr, E. G., Schulte, C., & Dunlap, G. (2004). A contextual assessment Inventory for problem behavior initial development. Journal of Positive Behavior Interventions, 6, 148–165.

    Article  Google Scholar 

  • McGill, P., Teer, K., Rye, L., & Hughes, D. (2005). Staff reports of setting events associated with challenging behavior. Behavior Modification, 29, 599–615.

    Article  PubMed  Google Scholar 

  • McTiernan, A., Leader, G., Healy, O., & Mannion, A. (2011). Analysis of risk factors and early predictors of challenging behavior for children with autism spectrum disorder. Research in Autism Spectrum Disorders, 5, 1215–1222.

    Article  Google Scholar 

  • Montero, D. (1996). Evaluación de la conducta adaptativa en personas con discapacidades. Adaptación y validación del ICAP. Bilbao: Mensajero.

    Google Scholar 

  • Murphy, O., Healy, O., & Leader, G. (2009). Risk factors for challenging behaviors among 157 children with autism spectrum disorder in Ireland. Research in Autism Spectrum Disorders, 3, 474–482.

    Article  Google Scholar 

  • Newman, I., Leader, G., Chen, J. L., & Mannion, A. (2015). An analysis of challenging behavior, comorbid psychopathology, and attention-deficit/hyperactivity disorder in fragile X syndrome. Research in Developmental Disabilities, 38, 7–17.

    Article  PubMed  Google Scholar 

  • Pavlovic, M., Zunic-Pavlovic, V., & Glumbic, N. (2013). Students’ and teachers' perceptions of aggressive behaviour in adolescents with intellectual disability and typically developing adolescents. Research in Developmental Disabilities, 34, 3789–3797.

    Article  PubMed  Google Scholar 

  • Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., & Feinstein, A. R. (1996). A simulation study of the number of events per variable in logistic regression analysis. Journal of Clinical Epidemiology, 49(12), 1373–1379.

    Article  PubMed  Google Scholar 

  • Poppes, P., Van der Putten, A. J. J., & Vlaskamp, C. (2010). Frequency and severity of challenging behaviour in people with profound intellectual and multiple disabilities. Research in Developmental Disabilities, 31, 1269–1275.

    Article  PubMed  Google Scholar 

  • Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The behavior problems Inventory: An instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disabilities, 31, 577–588.

    Article  Google Scholar 

  • Ruddick, L., Davies, L., Bacarese-Hamilton, M., & Oliver, C. (2015). Self-injurious, aggressive and destructive behaviour in children with severe intellectual disability: Prevalence, service need and service receipt in the UK. Research in Developmental Disabilities, 45-46, 307–315.

    Article  PubMed  Google Scholar 

  • Simó-Pinatella, D., Alomar-Kurz, E., Font-Roura, J., Gine, C., Matson, J. L., & Cifre, I. (2013). Questions about behavioral function (QABF): Adaptation and validation of the Spanish version. Research in Developmental Disabilities, 34, 1248–1255.

    Article  PubMed  Google Scholar 

  • Symons, F. J., Clark, R. D., Hatton, D. D., Skinner, M., & Bailey, D. B. (2003). Self-injurious behavior in young boys with fragile X syndrome. American Journal of Medical Genetics, 118A, 115–121.

    Article  PubMed  Google Scholar 

  • van Gameren-Oosterom, H. B. M., Fekkes, M., van Wouwe, J. P., Detmar, S. B., Oudesluys-Murphy, A. M., & Verkerk, P. H. (2013). Problem behavior of individuals with down syndrome in a nationwide cohort assessed in late adolescence. The Journal of Pediatrics, 5, 1396–1401.

    Article  Google Scholar 

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Contributions

DSP and CMA designed and executed the study, assisted with the data analyses, and wrote the paper; EMM analyzed the data and wrote part of the results; AC collaborated with the design of the study and data collection; and JM, NB, and AAA collaborated in the writing and editing of the final manuscript. All authors have contributed to, seen, and approved of the manuscript and agreed to the order of authors as listed on the title page.

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Correspondence to David Simó-Pinatella.

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Simó-Pinatella, D., Mumbardó-Adam, C., Montenegro-Montenegro, E. et al. Prevalence and Risk Markers of Challenging Behavior Among Children with Disabilities. Adv Neurodev Disord 1, 158–167 (2017). https://doi.org/10.1007/s41252-017-0022-8

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  • DOI: https://doi.org/10.1007/s41252-017-0022-8

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